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认知刺激游戏干预对痴呆症的影响:一项可行性随机对照试验。

Cognitive Stimulating Play Intervention for Dementia: A Feasibility Randomized Controlled Trial.

机构信息

1 School of Nursing, The Hong Kong Polytechnic University, Hong Kong, China.

2 Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong, China.

出版信息

Am J Alzheimers Dis Other Demen. 2019 Feb;34(1):63-71. doi: 10.1177/1533317518808036. Epub 2018 Oct 28.

Abstract

This study investigates the feasibility and the preliminary efficacy of a Cognitive Stimulating Play Intervention on cognitive functions. Thirty older people with early to moderate dementia were recruited from 2 day-care centers, which were randomized into intervention and control groups. The recruitment, attendance, completion rates, and the interview with staff showed that the intervention was feasible. Analysis of covariance results showed that there was a significant difference between groups on memory storage and retrieval functions. The mean memory storage and retrieval functions were 5.92 (95% confidence interval [CI]: 1.83-9.91; P = .006) and 4.12 (95% CI: 0.75-7.50; P = .018) points higher than that for the control group, respectively, which contributed moderate to large effects (partial η = 0.189-0.248). There was no significant difference between groups in global cognition measured using the Montreal Cognitive Assessment and verbal fluency. Practical issues that emerged during implementation were discussed.

摘要

本研究旨在探讨认知刺激游戏干预对认知功能的可行性和初步疗效。从 2 个日托中心招募了 30 名早期至中度痴呆的老年人,将他们随机分为干预组和对照组。招募、出勤率、完成率以及与工作人员的访谈表明,该干预措施是可行的。协方差分析结果表明,两组在记忆存储和检索功能方面存在显著差异。干预组的平均记忆存储和检索功能分别高出对照组 5.92 分(95%置信区间[CI]:1.83-9.91;P =.006)和 4.12 分(95% CI:0.75-7.50;P =.018),具有中到大的效应(部分η=0.189-0.248)。蒙特利尔认知评估和语言流畅性测试的总体认知方面,两组之间无显著差异。实施过程中出现的实际问题也进行了讨论。

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